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20 oct. 2015 - hadicapes dans les latrines sachant que le materiau? il y'a aussi la question de hauteur de la chaise. Combien coute ces blocs complets?
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RWSN Webinars – 2015 Tue 20th October 2015 Inclusive ways of working and inclusive designs 1

Chat box questions with responses Webinar recording : French: https://vimeo.com/143130679 English: https://vimeo.com/143141144

Presentations for download: http://www.rural-water-supply.net/en/resources/details/651

Contents Participants comments and questions - In English ............................................................................................ 2 Presentation 1 ................................................................................................................................................. 2 Presentation 2 ................................................................................................................................................. 3 Presentation 3: ................................................................................................................................................ 4 Participants comments and questions - In French ............................................................................................ 7 Présentation 1 ................................................................................................................................................. 7 Présentation 2 ................................................................................................................................................. 7 Présentation 3 ................................................................................................................................................. 8

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Participants comments and questions - In English Presentation 1: Overview of Common Successes & Challenges regarding Inclusive WASH Programming, Nate Kamban, Messiah College. From Sherin Sheikh Nate: can you please share some more info about using faith to push WASH inclusivity? From Nathaniel Kamban Throughout project implementation, we became increasingly aware that deep stigmas (often tied to religious/spiritual beliefs) perpetuate the exclusion of persons with disabilities. Therefore, we found it essential to begin this discussion with faith leaders (Christian and Muslim). This work began in northern Ghana and Niger (near the city of Maradi). Thus far, the project has met with religious leaders to provide sensitization on WASH & Disability issues in multi-day workshop settings. An outcome from these discussions was the need to develop sermon notes for faith leaders to help them prepare sermons which focus on disability inclusion. At Messiah College, student leaders, in addition to faculty advisors, are in the process of developing a faith leaders’ curriculum (Christian and Muslim) which provides suggested sermon notes that highlight the importance of disability inclusion. Christian verses used include the following excerpts from the Bible: Ephesians 2:10, Genesis 1:27 and Genesis 1:31. Examples from Muslim texts include the following: Qur’an 32:9, Qur’an 17:70 and Qur’an 32:7. We have chosen excerpts which focus on the value that God places on all individuals in creation. This document will be introduced to faith leaders in Ghana in January 2016. After gathering their feedback, we will develop a document for sharing. I would be happy to send you a copy of this completed document. Please contact me at [email protected]. Thank you. From Kristie Urich, World Vision International Messiah College put together a great mini documentary (14 mins) called Beyond the Margins, where you can see Abudu featured. It's worth a watch! https://youtu.be/2WIoJkJstgw From Nathaniel Kamban Please refer to www.africawashdisability.org for all designs. They can be found on the additional resources page. Thank you.

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Presentation 2: School WASH in Tanzania, Alex Ndama, WaterAid. From Alex Ndama The Government of Tanzania’s school WASH technical toolkit is here: https://db.tt/Io8Y8Xjp From Sarah House Alex thank you so much for sharing WaterAid's experiences of trialling the draft SWASH guidelines. It is great to hear that the results and feedback from the trials are being fed back to the national SWASH TWG and for revision of the national SWASH guidelines. This was the original intention as the first version was developed with the purpose of being able to test them in the field and see what would work or not work well. Very happy to hear that the process is continuing. Thanks so much for sharing. Greetings and good wishes to all in the SWASH TWG and sector in Tanzania. Sarah House From Sarah House Did the girls actually use the drying lines and bathrooms? Or were they too shy to do so? Did they offer any recommendations for improvements themselves? From Alex Ndama Evidence of use of the drying lines is limited (cultural barrier and the fact that managing periods is still a taboo-treated as secret even among girls themselves) but use of bathroom was and is evident throughout the project areas. Girls spoke freely (after the trainings on managing menses) in some communities of Dodoma Bahi and Chamwino but not in Nzega and it worse for Singida region. This was all due to cultural differences. Yes, girls offered recommendation for improvements themselves; we saw it while conducting study on Use and Effectiveness of Girl Urinals where girls asked for more improved privacy on urinals and water reliability as some of them felt reluctant to uses them while in periods while water for flushing was unreliable. Of recent we conducted study on Knowledge, Attitude and Practices; again girls asked for wash basins, soap and reliable water for cleaning/washing while managing periods during school time. From Sylvie Cordier Thank you Alex and again it shows how ADD and WaterAid need to work together on the Inclusive education project From Alex Ndama Sylvie: We real need to finish that partnership initiative that we began back then, will take it up after this webinar From John Collett Thanks Alex. Have any of the inclusivity arrangements at schools been copied by others to help improve the situation at homes and/or other community spaces?

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From Alex Ndama We have documented evidence on spill over effect to communities on change/improvement on hygiene behaviour and practices, improvement in toilet type (basic to improved toilets) and increase in number of improved toilet coverage in our project areas but not in inclusive designs. Some local government authorities have begun promoting these models, private owners of schools and a good number of NGOs (local and international) are promoting the same. From John Collett Alex: cost of the girls' toilet block? From Alex Ndama A basic girls block (that can serve 300 girls) costs about USD 9,000.00; this is composed on one toilet for people with disabilities, four ordinary toilets, 4 urinals compartments, one change room/shower for pubescent girls, an incinerator/burn chamber, five hand wash basins (2 for younger kids and 3 for older kids), ramp for accessibility. At that price the toilet n=can be of any type (VIP, double vault composite VIPs, Pour flush, or even a septic tank system). From Sarah House One additional point to Alex's great presentation. When the guidelines were initially developed it involved a partnership with 4 Ministries as Alex noted (Education, Water, Health & Local Government) and a number of WASH NGOs but crucially also a key partner involved in the whole process was the CCBRT, who ran the National Disability Hospital in Dar es Salaam. People with disabilities participated in all discussions and workshops to develop all elements of the guidelines and also patients at the disability hospital also tested some prototypes. This process was very useful and also raised awareness of the skills and critical contributions of people with disabilities themselves within the wider WASH sector. From Alex Ndama Thank you Sarah for that, CCBRT were key in the whole process. We are still working with them at the moment.

Presentation 3: Partnerships with Organizations of Persons with Disabilities to Foster Disability Inclusive WASH, Faustina Melody Tietaah (World Vision Ghana) and Abudu Alhassan (Association of Persons with Disabilities, Ghana). From Nathaniel Kamban Please refer to www.africawashdisability.org for all designs. They can be found on the additional resources page. Thank you. From Sarah House Thank you Faustina and Abudu thanks for the great presentation. I think the idea of doing artisan sensitisation mentioned in two of the presentations is a great idea. Once the artisans have got the

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issue it is likely that some will also go on to develop their own ideas for adaptions in their other work. Have any examples of this type of innovation by artisans been seen post the awareness sessions in the other two country contexts? From Faustina Yes, we have witnessed local innovation from artisans. This typically occurs after an artisan attends a WASH and Disability workshop sponsored by the project. At these workshops, we provide an overview of modifications developed by artisans and persons with disabilities in target communities in other parts of Africa. We’ve found that this provides artisans with a starting point to then develop technologies based upon the local context and local needs. For example, the jerry can tipper was not originally developed to be mobile. After an artisan was introduced to the jerry can tipper, he then added wheels and a handle to allow the tipper to be easily transported. Thus far, we have only witnessed this innovation occur in the inclusive WASH realm. From Alex Ndama Hazel and Jane, the accessible toilet chair is very similar to the design in the Compendium of Accessible WASH technologies (WEDC, WaterAid): www.wateraid.org/accessibleWASHtechnologies From Erick Wanga Thanks Faustina! Even as we talk about sensitizing artisans to fabricate inclusive devises. How is their motivation? There is usually the issue on limitation to pay for service by communities particularly by the PLWDs who are already vulnerable. How do we handle this? From Faustina This is an obstacle which we have encountered throughout project implementation. We began by seeking to work with artisans with disabilities as they have a natural connection to this issue and are motivated to support inclusive WASH programming. When no artisans with disabilities are available, we seek to sensitize artisans to the unique needs of persons with disabilities by providing artisans with opportunities to witness first-hand the accessibility limitations inherent in nonmodified WASH facilities. This is accomplished by inviting artisans to attend the three-day WASH and Disability workshops sponsored by the project at each base where we work (a workshop guide is available at the project’s website: www.africawashdisability.org). Additionally, the project budget designates a small amount of funding to subsidize the fabrication of assistive WASH technologies (latrine chairs, bucket tippers and jerry can tippers). A stipend has been disbursed to artisans in Niamey, Niger and, thus far, this has worked well to jumpstart the fabrication of assistive WASH technologies by local artisans. From Sherin Sheikh to Everyone (04:55:01 PM): What was the role of carers of people of disabilities in advocating for the use of those devices? From Faustina to Everyone (04:55:05 PM): In terms of those who care for people with disabilities, we have witnessed parents and immediate family members advocate on behalf of the use of the assistive WASH technologies. This has been especially noticeable for the latrine chairs. Parents are very interested in these chairs as it will provide their child with independence. Also, many of the parents which we have met must hold their child each time they utilize a latrine. Therefore, the latrine chair will also provide the parents with increased independence.

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From Nathaniel Kamban to Everyone (04:55:07 PM): Keith there aren't any drawings of this cart at this time, but there are drawings of all the other technologies on the project website. From Jane Wilbur to Everyone (04:57:48 PM): The RWSN is running e-discussions on reducing inequalities in WASH in October and November 2015. Please join the d-group at https://dgroups.org/RWSN/equality_rwsn.

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Participants comments and questions - In French Présentation 1: WASH dans les écoles en Tanzanie, Alex Ndama (présenté par Anne Sophie) from Alex Ndama Le gouvernement de l'école trousse technique WASH de la Tanzanie est ici: https://db.tt/Io8Y8Xjp From Soma Konare: Tres belle presntation sur l'inclusion. Quels sont les defis lies a l'utilisation des chaises pour hadicapes dans les latrines sachant que le materiau? il y'a aussi la question de hauteur de la chaise. Combien coute ces blocs complets? materiau en bois from Héléne Le Deunff: 69000 shilling tanzaniens = 31,5 USD from Anne Sophie Aublet: Complément d'Alex: un rapide calcul montre que cela coûte environ 9000 USD par bloc, ce qui sert 300 élèves

Présentation 2 : Vue d’ensemble des succès et défis courants vis-à-vis des programmes WASH inclusifs, Nate Kamban from Nate Kamban: Se il vous plaît se référer à www.africawashdisability.org. Pour tous les modèles. Ils peuvent être trouvés sur la page des ressources supplémentaires. Merci. from Moussa: Nate quel à été le rôle des autorités locales dans le processus? from Moussa: A l'intention du dernier présentateur: Comment les groupements d'épargne ont été impliqués dans la mise en œuvre du projet? from Moussa: Comment les groupements d'épargne ont été impliqués dans le projet?

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Présentation 3: Partenariats avec les Organisations de personnes avec handicap pour encourager l’inclusion du handicap dans le WASH, Faustina Melody Tietaah et Abudu Alhassan (présenté par Nate Kamban) from Nate Kamban: Se il vous plaît se référer à www.africawashdisability.org. Pour tous les modèles. Ils peuvent être trouvés sur la page des ressources supplémentaires. Merci. from Heritiana Alain Rakotomalala: Pour Nathanael: Quelle norme utilisez vous pour une latrine pour handicapés, y avait-il une pensée/orientation pour les handicapés mentaux ? Quelles contributions ont elles apportées les institutions sanitaires ou le ministère de la santé ? from Moussa: Comment vous arriver à articuler les activités du WASH inclusif et les autres activités de Vision Mondial? Pour des questions de transversalité from Aime Magloire Guehi: En Côte d'Ivoire, nous utilisons les HPV, les ABI et aussi des india. Celles-ci sont une recommandation de l'état, que pourrons-nous apporter et quel serait le cout additionnel ? From Moumouni : Est-ce que nous pouvons avoir le contact de groupe de travail au Niger? From Jane Wilbur Le RWSN est en marche e-discussions sur la réduction des inégalités en matière de WASH en Octobre et Novembre 2015. S'il vous plaît se joindre au groupe à-d: https://dgroups.org/RWSN/equality_rwsn.

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